St Lawrence

 

 

 5225 N. Himes Ave, Tampa FL 33614-6623

(813) 875-4040

 

 

 
 
 
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Personal Funeral Planning Form

 

Part One:  (Please Provide Biographical Information):

 

Name: _____________________________ Date of Birth: _______________________

Confirmation Saint Name: _______________________________________

Patron Saint(s) Name(s): ________________________________________

_______________________________________________________

 

Place of Birth: (City/State) _________________________________________________

Name of Parents: Mother___________________________ (Please check) ___living                                                                                                                                                              ___deceased

                            

                           Father____________________________ (Please check) ___ living

                                                                                                             ___ deceased

 

Living Family Members:

 

Names:                                                             Relationship:

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

(Please use a separate sheet of paper to list additional living family members and their relationship to you if needed)

   

List of Deceased Family Members that you would like Prayed for at your Funeral:

Names:                                                             Relationship:

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

____________________________________            ______________________________

 

(Please use a separate sheet of paper to list additional deceased family members and their relationship to you if needed)

Name and Phone Number of Funeral Home: _______________________________

___________________________________________________________

Name and Location of Cemetery: _______________________________________________

 

Part Two: Choosing your Funeral Preferences:

 

Funeral Rites of the Catholic Church:

 

The Church regards as normative the following for a Catholic Funeral (the first preference):

 

First Preference

1) Gathering normally at a Funeral Home with the body present for a Vigil Service

     (A rosary can be said in addition to the Vigil)

2)  The body of the deceased person is brought to the local parish church for the Funeral           

     Mass.

3) The Rite of Committal of the body normally takes place at the cemetery.  (The body of           

     Deceased is to be interred, either in the ground or in a crypt following the funeral  

     Mass).

 

Second Preference

1)  As above the faithful gather at the funeral home with the body present for a Vigil Service.

2)  The body of the deceased person is brought to the local church for the Funeral Mass.

3)  The body of the deceased is cremated following the Mass and the Rite of Committal takes place later with the priest or deacon at the cemetery.  (The cremains of the deceased are to be interred in the ground or in a crypt at a cemetery).

 

Third Preference

1) A Vigil Service may be conducted in the presence of the cremains.

2)  A Funeral Mass is conducted with the cremains present

3)  The rite of committal is conducted at a cemetery following the Mass

Fourth preference

1)  A Funeral Mass at the parish church is conducted with the cremains present or not present*

2)  The rite of committal is conducted at a cemetery following the Mass

*If the cremains are not present for the funeral Mass the rite of committal at the cemetery takes place at a later date

 

Fifth preference

1) A Vigil Service may be conducted

2) A funeral liturgy outside of Mass is conducted at the funeral home in the presence of the body or the cremains of the deceased

3) The Rite of Committal is conducted following the funeral liturgy outside of Mass or at a later date.

 

Choice of Preference for Funerals:.

(Please check one)

 

______ First preference

 

______ Second Preference

 

______ Third Preference

 

______ Fourth Preference

_____ Fifth Preference

Part Three: Planning the Funeral Mass

Please complete:

Funeral Information Sheet: http://stlawrence.org/MassServiceArrangements.htm

*This Funeral Preparation Form should be included with your Funeral Mass Planning Sheet.

 

Items requested to be placed in casket: ________________________________________

___________________________________________________________________

 

Spiritual Testament:  (You may choose to write a spiritual testament prior to your death.  Testaments are used to seek the forgiveness of both our Almighty God and those whom we have shared our life with, it also serves as an occasion for highlighting the gifts and insights given to us by Almighty God, an is our last opportunity to witness as a disciple and share our insights and hope with those whom we have journeyed with. 

 

Signature: ____________________________________ Date: _____________________

 

Please check if applicable:

 

_____ I give my permission for the priest or deacon to use all or part of my spiritual testament at my funeral rites.

(Please include your Spiritual Testament with your Funeral Mass Planning Sheet)

____ I have included with this form additional thoughts or writings that may be used at my funeral. (Attach this information to this sheet)

 

 

 

 
 
 
     
     
 


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